Men developed dilated cardiomyopathy. Its creation was attributed to the use of both testosterone and boldenone within 3 months before admission to the hospital.

Although the adverse effects of anabolic-androgenic steroids on diastolic function are well known, the effect of these drugs on the systolic function is an area of ​​continuous research. This case suggests that the use of androgenic anabolic steroids should be considered in the differential diagnosis of patients with acute heart failure.

The commentary is an extremely rare case, but this is another argument for bodybuilders to regularly check blood, kidney and heart functions.